This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is admitted with acute, painful muscle spasms and suffers from intermittent porphyria, an ... (Read 34 times)

joe

  • Hero Member
  • *****
  • Posts: 627
on: Jul 23, 2018
A patient is admitted with acute, painful muscle spasms and suffers from intermittent porphyria, an inherited enzyme deficiency. Which of the following muscle relaxants is contraindicated due to the patient's history of porphyria?
 
  A) Baclofen (Lioresal)
  B) Carisoprodol (Soma)
  C) Diazepam (Valium)
  D) Dantrolene (Dantrium)

Question 2

A patient's sudden increase in IOP has necessitated the oral administration of glycerin (Osmoglyn). When assessing the patient for adverse effects related to this intervention, the nurse should prioritize which of the following?
 
  A) Assessment for signs and symptoms of acidbase imbalances
  B) Assessment for signs and symptoms of fluid volume deficit
  C) Monitoring of serum potassium and sodium levels
  D) Monitoring of aPTT and INR


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

shayla

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Feedback:
Carisoprodol is used to relieve discomfort from acute, painful musculoskeletal disorders. It is contraindicated in patients with intermittent porphyria. Baclofen is not known to be contraindicated with porphyria. Diazepam is not known to be contraindicated with porphyria. Dantrolene is not known to be contraindicated with porphyria.

Answer to Question 2

B
Feedback:
Adverse effects of glycerin relate to decreased fluid volume. The most serious of these conditions is hyperosmolar nonketotic coma. Consequently, the nurse should prioritize assessments that are focused on the signs and symptoms of fluid volume deficit.


joe

  • Member
  • Posts: 627
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

carlsona147

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Essential fatty acids have been shown to be effective against ulcers, asthma, dental cavities, and skin disorders such as acne.

Patient teaching: lung assessment Patient teaching: lung assessment
An example of a medical history sheet to list patient problems. An example of a medical history sheet to list patient problems.
The medical assistant will provide patient education regarding the daily use of diabetic glucose ... The medical assistant will provide patient education regarding the daily use of diabetic glucose ...
The medical assistant is measuring the urine output from a patient who has an indwelling Foley ... The medical assistant is measuring the urine output from a patient who has an indwelling Foley ...
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest. A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.
Risk assessment codes for an HIV-infected patient. Risk assessment codes for an HIV-infected patient.
Video: Glycolysis - Introduction to ATP and the burning of sugar

For a complete list of videos, visit our video library